Identities/MBR-003684

Gold, golden identity

Isabella P Wilson

6 source records from 3 feeds.

MBR-003684Verified6 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR: Isabella
Middle nameENR: P
Last nameENR: Wilson
Date of birthENR: 2003-04-02
GenderENR: M
Member IDENR: UHC-32664-98
SSNENR: •••-••-3765
PhoneENR: 2785996102
EmailENR: isabella.wilson@icloud.com
AddressENR: 8501 Spring St
CityENR: San Diego
StateENR: CA
ZIPENR: 92113
GroupENR: GRP-7186
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×4TPA ×1ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-412687	CLM	2026-01-12	Isabella Wilsonflagged	2003-04-02	UHC-32664-98	—	8501 Spring St, San Diego, CA	Scored	1.00	—
CLM-412689	CLM	2026-03-13	Isabella Wilsonflagged	—	UHC-32664-98	2785996102	8501 Spring St, San Diego, CA	Scored	1.00	—
CLM-412686	CLM	2026-05-03	Isabella Wilsonflagged	2003-04-02	—	2785996102	—	Scored	1.00	—
TPA-55580	TPA	2026-05-14	Isabella Wilsonflagged	2003-04-02	—	2785996102	8501 Spring St, San Diego, CA	Scored	1.00	—
ENR-116668	ENR	2026-06-19	Isabella Wilsonflagged	2003-04-02	UHC-32664-98	2785996102	8501 Spring St, San Diego, CA	Scored	1.00	—
CLM-412688	CLM	2026-06-23	Isabella Wilsonflagged	2003-04-02	UHC-32664-98	2785996102	8501 Spring St, San Diego, CA	Scored	1.00	—

Evidence

15 scored pairs among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-412686CLM CLM-412688CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55580TPACLM-412688CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55580TPAENR-116668ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412687CLMTPA-55580TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412686CLM TPA-55580TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412689CLMTPA-55580TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412687CLMCLM-412688CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116668ENRCLM-412688CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412687CLMENR-116668ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412687CLMCLM-412686CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412686CLM ENR-116668ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412689CLMCLM-412688CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412687CLMCLM-412689CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412689CLMENR-116668ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412689CLMCLM-412686CLM 0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412686 → UHC-32664-98 (Isabella Wilson)
ACT-009429, Claims processor
Care coordination outreachProposed
Isabella Wilson: 4 claims, no attributed provider
ACT-018048, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc668b90585
scoring_agent, CLM-412688, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412686, policy version 1
2026-10-19 19:54:38Record linked automaticallye4392a93fd
scoring_agent, ENR-116668, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:54:38Record linked automatically7959168e02
scoring_agent, TPA-55580, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412687, policy version 1
2026-10-19 19:54:38Record linked automatically1ac7c12eff
scoring_agent, CLM-412686, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:54:38Record linked automaticallya4f7c95321
scoring_agent, CLM-412689, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:54:38Record linked automatically852bbb7cfd
scoring_agent, CLM-412687, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:52:08Record linked automatically4744b88090
scoring_agent, CLM-412688, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412686, policy version 1
2026-10-19 19:52:08Record linked automatically644c225623
scoring_agent, ENR-116668, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:52:08Record linked automatically408ab3502e
scoring_agent, TPA-55580, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412687, policy version 1
2026-10-19 19:52:08Record linked automaticallyd09dc03dfe
scoring_agent, CLM-412686, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:52:08Record linked automatically611a307547
scoring_agent, CLM-412689, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:52:08Record linked automaticallyb038ffcb35
scoring_agent, CLM-412687, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:45:42Record linked automaticallycce65a153c
scoring_agent, CLM-412688, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412686, policy version 1
2026-10-19 19:45:42Record linked automaticallya4a5099090
scoring_agent, ENR-116668, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:45:42Record linked automatically86f6989773
scoring_agent, TPA-55580, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412687, policy version 1
2026-10-19 19:45:42Record linked automaticallycaf6a48aa4
scoring_agent, CLM-412686, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:45:42Record linked automatically9960566bb4
scoring_agent, CLM-412689, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:45:42Record linked automatically19c0cecc74
scoring_agent, CLM-412687, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:32:31Record linked automatically2100e10179
scoring_agent, CLM-412688, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412686, policy version 1
2026-10-19 19:32:31Record linked automaticallybb3fe8bc04
scoring_agent, ENR-116668, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:32:31Record linked automatically15a1582fb3
scoring_agent, TPA-55580, identity id MBR-003684, confidence 1, method probabilistic, matched record CLM-412687, policy version 1
2026-10-19 19:32:31Record linked automatically668a0a47b2
scoring_agent, CLM-412686, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:32:31Record linked automaticallye0c35d81ea
scoring_agent, CLM-412689, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:32:31Record linked automaticallyb26b1562ee
scoring_agent, CLM-412687, identity id MBR-003684, confidence 1, method probabilistic, matched record TPA-55580, policy version 1
2026-10-19 19:31:28Record linked automatically36aa39d495
matching_agent, ENR-116668, identity id MBR-041040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412582
2026-10-19 19:31:28Record linked automatically77a2ef9b0b
matching_agent, CLM-412686, identity id MBR-017935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412688
2026-10-19 19:31:28Record linked automaticallyf46fa8def4
matching_agent, CLM-412687, identity id MBR-017935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412688
2026-10-19 19:31:28Record linked automaticallyc0926cdcc8
matching_agent, CLM-412688, identity id MBR-017935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116789
2026-10-19 19:31:28Record linked automatically41f7d635bc
scoring_agent, CLM-412689, identity id MBR-010304, confidence 1, method probabilistic, matched record PRV-23746, policy version 1
2026-10-19 19:31:28Record linked automatically61d7c8cfcf
scoring_agent, TPA-55580, identity id MBR-006110, confidence 1, method probabilistic, matched record TPA-55581, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-019979	2026-05-27	Sunrise Community Hospital out of network	99283, 71046	$1,196.00	—	Needs review	Needs review
CLM-2026-030864	2026-04-14	Harbor Primary Care Associates out of network	99214, 36415	$333.00	—	Denied	Denied
CLM-2026-030755	2026-02-07	Evergreen Medical Group in network	99213, 99203	$384.00	$213.08	Approved	Approved
CLM-2026-009347	2025-12-06	Riverside Orthopedic Specialists in network	20610	$308.00	—	Denied	Denied
CLM-2026-009346	2025-12-06	Riverside Orthopedic Specialists in network	20610	$308.00	$115.96	Approved	Approved